Individual
CHAD EAGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 BELFRY HWY, CODY, WY 82414-9524
(307) 586-3725
Mailing address
137 BELFRY HWY, CODY, WY 82414-9524
(307) 586-3725
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/30/2015
Last updated
09/17/2015
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